Dekhtyar, Tracy

Dekhtyar, Tracy is an sole proprietor health care provider with primary practice located at 1940 Deer Park Ave , Deer Park NY 11729-3333. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dekhtyar, Tracy can be contacted via phone (516) 582-6784.

Contact Information

Primary practice address
1940 Deer Park Ave Deer Park NY 11729-3333
Phone: (516) 582-6784
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 008428 New York

Profile Details

NPI number 1891869715
LBN Legal business name Dekhtyar, Tracy
Credentials RPA-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2006
Last updated Jan 22nd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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